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Outside-in Meniscal Repair: Technique and Outcomes

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The Menisci

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Abstract

The menisci are cartilaginous structures that play a critical role in maintaining joint stability, load distribution, and joint lubrication. Injury to the menisci has been found to significantly alter the complex biomechanics of the knee and thus affect the health and longevity of the native joint. While early treatment of meniscal tears focused primarily on removal of the injured tissue, recent attention on the long-term consequences of partial and total meniscectomy has led to increased attempts at meniscal repair whenever possible. Meniscal tears involving the anterior horn are increasingly recognized as an important pathology. Due to the location of anterior horn tears and the technical difficulty in accessing this location arthroscopically, an outside-in repair technique is ideal for treatment of these lesions. This chapter details the surgical technique of outside-in repair of anterior horn meniscal tears, rehabilitation, and outcomes of this procedure.

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Authors and Affiliations

  1. Steadman Philippon Research Institute, 181 W Meadow Drive, Suite 1000, Vail, CO, 81657, USA

    Jorge Chahla, James Gannon & Gilbert Moatshe

  2. The Steadman Clinic, 181 W Meadow Drive, Suite 1000, Vail, CO, 81657, USA

    Robert F. LaPrade

Authors
  1. Jorge Chahla
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  2. James Gannon
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  3. Gilbert Moatshe
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  4. Robert F. LaPrade
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Corresponding author

Correspondence to Jorge Chahla .

Editor information

Editors and Affiliations

  1. Steadman Philippon Research Institute, Vail, Colorado, USA

    Robert F. LaPrade

  2. University of Minnesota Department of Orthopaedic Surgery, Minneapolis, Minnesota, USA

    Elizabeth A. Arendt

  3. University of Western Ontario Fowler Kennedy Sport Medicine Clinic, London, Ontario, Canada

    Alan Getgood

  4. The Orthopaedic Center, P.A., Washington, District of Columbia, USA

    Scott C. Faucett

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© 2017 ISAKOS

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Chahla, J., Gannon, J., Moatshe, G., LaPrade, R.F. (2017). Outside-in Meniscal Repair: Technique and Outcomes. In: LaPrade, R., Arendt, E., Getgood, A., Faucett, S. (eds) The Menisci. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53792-3_12

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  • DOI: https://doi.org/10.1007/978-3-662-53792-3_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53791-6

  • Online ISBN: 978-3-662-53792-3

  • eBook Packages: MedicineMedicine (R0)

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